| NPI | 1346510500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY COLE Member 708-738-2778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IN 07001107A) |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2012-01-05 |